Church, Chary Roberta

Church, Chary Roberta is an sole proprietor health care provider with primary practice located at 110 Evans Mill Dr Ste 305 , Dallas GA 30157-1623. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Church, Chary Roberta can be contacted via phone (770) 445-6358.

Contact Information

Primary practice address
110 Evans Mill Dr Ste 305 Dallas GA 30157-1623
Phone: (770) 445-6358
Fax: (770) 445-7262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004233 Georgia

Profile Details

NPI number 1518083039
LBN Legal business name Church, Chary Roberta
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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